LP PORT CHARLOTTE LLC (NPI# 1669662748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669662748 |
| Entity Type | Organization |
| Organization Name | LP PORT CHARLOTTE LLC |
| Other Organization Name | SIGNATURE HEALTHCARE OF PORT CHARLOTTE |
| Practice Address |
4033 Beaver Ln Port Charlotte FL 33952-9206 |
| Mailing Address |
12201 Bluegrass Pkwy Louisville KY 40299-2361 |
| Practice Telephone | 9416253200 |
| Practice Fax Number | 9416242358 |
| Mailing Telephone | 5025687800 |
| Mailing Fax Number | 5025687150 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2010-10-02 |
| Authorized Official Name | MR. JOHN HARRISON (CFO) |
| Authorized Official Telephone | 5025687800 |
| Is Organization Subpart | Y |
| Parent Organization Name | LP O HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | SNF14510962 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Signature HealthCARE of Port Charlotte | Doing Business As Name - Organization |
| Street Address |
4033 BEAVER LN |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-9206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396778825 | Hqm of Port Charlotte, LLC | Skilled Nursing Facility | 4033 Beaver Ln, Port Charlotte, FL 33952-9206 | 2006-07-08 |
| 1841832425 | Dona Kristine Smith | Nurse Practitioner | 4033 Beaver Ln, Port Charlotte, FL 33952-9206 | 2019-10-15 |
| 1861677064 | Shc Medical Partners of Florida, LLC | Nurse Practitioner | 4033 Beaver Ln, Port Charlotte, FL 33952-9206 | 2008-01-07 |
| 1811039654 | Integritas of Florida, LLC | Nurse Practitioner | 4033 Beaver Ln, Port Charlotte, FL 33952-9206 | 2007-02-12 |
| 1497868087 | Jacqueline Marie Noble-deschenes | Nurse Practitioner | 4033 Beaver Ln, Port Charlotte, FL 33952-9206 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396754230 | Health Center of Port Charlotte Inc | Skilled Nursing Facility | 4000 Kings Hwy, Port Charlotte, FL 33980-8413 | 2006-08-07 |
| 1043233992 | Port Charlotte Facility Operations, LLC | Skilled Nursing Facility | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2006-07-25 |
| 1396778825 | Hqm of Port Charlotte, LLC | Skilled Nursing Facility | 4033 Beaver Ln, Port Charlotte, FL 33952-9206 | 2006-07-08 |
| 1740220227 | Tandem Health Care of Port Charlotte, Inc. | Skilled Nursing Facility | 18480 Toledo Blade Blvd, Port Charlotte, FL 33948-3379 | 2006-06-07 |
| 1124002647 | Peace River Hma Nursing Center Inc | Skilled Nursing Facility | 2370 Harbor Blvd, Port Charlotte, FL 33952 | 2005-11-30 |
| 1679560262 | Deep Creek Rnc, LLC | Skilled Nursing Facility | 25325 Rampart Blvd, Port Charlotte, FL 33983 | 2005-09-29 |
| 1275904864 | Solaris Healthcare Charlotte Harbor LLC | Skilled Nursing Facility | 4000 Kings Hwy, Port Charlotte, FL 33980-8718 | 2015-10-08 |
| 1033586060 | Mary Samoge-wismer | Skilled Nursing Facility | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2015-08-25 |
| 1376957803 | Ccrc - South Port Square, LLC | Skilled Nursing Facility | 23013 Westchester Blvd, Port Charlotte, FL 33980-8448 | 2014-06-12 |
| 1467761783 | Charlotte Harbor Rehab LLC | Skilled Nursing Facility | 4000 Kings Hwy, Port Charlotte, FL 33980-8718 | 2010-10-04 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.